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Submit information to meet your specific information requirement

You should submit this form if you're importing or manufacturing a chemical in Australia and the Inventory terms of listing for that chemical has specific information requirements. Completing this form helps you to meet your specific information requirements as an introducer.

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This is the Chemical Abstracts Service (CAS) registered number for the chemical.
Select how much of your chemical will be manufactured or imported into Australia per year.
For example, 1%, 50%. If importing for the purpose of reformulating in Australia, give both the import concentration and end-product concentration.
Which category best describes how your chemical will be used?
Select all that apply.
Explain further about how your chemical will be used and what it does e.g. antioxidant, binder, catalyst, emollient, emulsifier, surfactant. Maximum 3000 characters.
If yes, provide details in the following comments box.
Maximum 3000 characters (text and numbers only) – do not use symbols and special characters.

For example, details on the adverse effects of the chemical, information relating to specific secondary notification obligations described in the assessment report.
One file only.
256 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.
You won't be able to submit this form until you've answered this question and the questions that will appear.
For example, NIC12345 or NIC06894.
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